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                                                                                                                 This form must be completed
Michigan Department of Treasury                                Parcel No.                                        and returned to the assessor by 
632  (Rev. 07-21)                                                                                                February 22, 2022.  
 Issued under authority of Public Act 206 of 1893. 
Approved by the State Tax Commission August 17, 2021. 
                                                                                                                                L-4175         2022 
2022 Personal Property Statement  (As of 12-31-21)                                                Location(s) of Personal Property Reported on This Statement. 
FROM:  (Name and Address of Assessor)                                                             LIST ALL LOCATIONS.  Attach additional sheets if necessary.   

                                                                                                  Date of Organization  Date Business Began at Square Feet 
                                                                                                                       above location          Occupied 

                                                                                                  Assumed Names Used by Legal Entity, if any 

TO:  (Name and Address of Taxpayer)                                                               Names of Owner(s) or Partners
                                                                                                  (If sole proprietorship or partnership) 

                                                                                                  If Sole Proprietorship, Taxpayer's Residential Address 

                                                                                                  Legal Name of Taxpayer 

Preparer's Name, Address, Telephone Number and E-mail address  Check One Only:                    Address Where Personal Property Records are Kept 
                                                                            Sole Proprietorship 
                                                                            Partnership           Name of Person in Charge of Records  Taxpayer Telephone No. 
                                                                            Limited Liability Co. 
                                                                            Corporation           Description of Taxpayer's Business Activity and NAICS Code 
                                                               MI ID# ______________ 
NOTICE: DO NOT USE THIS FORM TO CLAIM AN EXEMPTION OF ELIGIBLE MANUFACTURING PERSONAL PROPERTY (EMPP) PURSUANT TO
MCL 211.9m AND MCL 211.9n. To claim an exemption for EMPP, file Form 5278 with the local assessor where the personal property is located no
later than February 22, 2022. Leasing companies are not eligible to file Form 5278 and must complete this form. Pursuant to MCL 211.9o, if the true
cash value of the assessable personal property you or a related party              own, lease or possess in this local assessing unit is less than $80,000, then you
do not need to file this form if the property is classified as commercial or industrial personal property and you timely claim the exemption. Instead, file
Form 5076 with the local unit where the property is located no later than February 22, 2022. See the instructions on Page 5. 
SUMMARY AND CERTIFICATION.   Complete ALL questions.                                                                           If Yes, state total original cost 
1.  Have you excluded any exempt "Special Tools" from this statement?                               Yes          No            excluded _________________ 
                                                                                                                                
2.  Have you excluded any air and water pollution control facilities and/or wind or water energy 
    conversion devices for which an exemption certificate has been issued?                          Yes          No            If Yes, attach itemized list. 
                                                                                                                                 
3.  Have you, to the best of your knowledge, reported all of your assessable tangible personal                                  
    property located in Michigan including fully depreciated and/or expensed assets, to the 
    appropriate assessment jurisdiction?                                                            Yes          No            If No, attach explanation. 
     
4.  Did you hold a legal or equitable interest in personal property assessable in this jurisdiction                             
    which you have not reported on this statement (see instructions)?                               Yes          No            If Yes, attach itemized list. 

5.  Are you a party (as either a landlord or a tenant) to a rental or lease agreement relating to 
    real property in this jurisdiction?                                                             Yes          No            If Yes, complete Section O. 

6.  Have any of your assets been subjected to "rebooking" of costs for accounting purposes 
    or been purchased used (see instructions)?                                                      Yes          No            If Yes, attach itemized list. 
7.  Is any of your property "daily rental property," per P.A. 537 of 1998?                          Yes          No            If Yes, attach Form 3595. 
8.  Are other businesses operated at your location(s)?                                              Yes          No            If Yes, attach itemized list. 

Enter zero if appropriate.                                                                                                       Assessor Calculations 
9.  Grand total from page 2                                                              9a.                                     9b. 
10. Grand total from page 3                                                              10a.                                    10b. 
11. Grand total from page 4                                                              11a.                                    11b. 
12. Total cost of Idle Equipment from Form 2698                                          12a.                                    12b. 
13. Total cost of Personal Property Construction in Progress                             13a.                    X .50           13b. 
14. Total cost of Cable TV, Utility and Wind Energy Assets from Forms 633, 3589 and 4565 14a.                                    14b. 
15. Total cost of cellular site equipment from Form(s) 4452                              15a.                                    15b. 
                                                    TOTAL 
The undersigned certifies that he/she is an owner, officer and/or the duly  authorized    ASSESSOR'S ADJUSTMENT(S) 
agent for the above named taxpayer and that the above summary,  with its supporting
documents, provides a full and true statement of all tangible personal property owned               EXEMPTION(S) 
or held by the taxpayer at the locations listed above on December 31, 2021. 
                                                                                                  TRUE CASH VALUE 
Signature of Certifier                                 Date 
                                                                                         ASSESSED VALUE (50% of TCV) 



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632, Page 2 
INSTRUCTIONS.  Read carefully to obtain directions for the allocation of your personal property to Sections A - N. 
All Tangible Personal Property  in your possession at this location, including fully depreciated and expensed assets, must be reported in one of the Sections A 
through N. If you had "Move-Ins" of used property, you must also complete Form 3966, 2022 Taxpayer Report of Personal Property "Move-Ins" of Used 
Equipment Occurring During 2021. "Move-Ins" are items of assessable personal property  (hereafter referred to as "property") that were not assessed in this 
city or township in 2021, including (1) purchases of used property, (2) used property you moved in from a location outside this  city or township, (3) property 
that was exempt in 2021 (such as exempt Industrial Facilities Tax property), and (4) property that you mistakenly  omitted from your statement in 2021. 
"Move-Ins" DO NOT include property that has been moved from another location WITHIN this city  or township or that was assessed to another taxpayer 
within this city or township in 2021 (i.e., property reported by a previous owner or previously leased property reported by the lessor in 2021). All "Move-Ins" 
must be reported on Page 2 of this form and on Form 3966. Do not report 2021 acquisitions of new property on Form 3966. 

Did you have "move-ins"?                        Yes              No 
SECTION A:                                           Assessor 
Including Furniture and Fixtures                     Calculations                    SECTION D:  Including Office, Electronic,            Assessor 
                                                                                     Video and Testing Equipment                       Calculations 
2021                                        .91 
                                                                                     2021                                     .84 
2020                                        .80 
                                                                                     2020                                     .64 
2019                                        .69 
                                                                                     2019                                     .55 
2018                                        .61 
                                                                                     2018                                     .49 
2017                                        .53 
                                                                                     2017                                     .44 
2016                                        .47 
                                                                                     2016                                     .41 
2015                                        .42 
                                                                                     2015                                     .38 
2014                                        .37 
                                                                                     2014                                     .35 
2013                                        .33 
                                                                                     2013                                     .33 
2012                                        .29 
                                                                                     2012                                     .31 
2011                                        .27 
                                                                                     2011                                     .29 
2010                                        .24 
                                                                                     2010                                     .28 
2009                                        .22 
                                                                                     2009                                     .26 
2008                                        .19 
                                                                                     2008                                     .25 
2007                                        .12 
                                                                                     2007                                     .17 
Prior                                       .12 
                                                                                     Prior                                    .17 
TOTALS      A1                                  A2 
                                                                                     TOTALS D1                                    D2 
SECTION B:                                           Assessor 
Including Machinery and Equipment                    Calculations                    SECTION E:  Including Consumer                       Assessor 
                                                                                     Coin Operated Equipment                           Calculations 
2021                                        .89 
2020                                        .76                                      2021                                     .92 
2019                                        .67                                      2020                                     .85 
2018                                        .60                                      2019                                     .77 
2017                                        .54                                      2018                                     .69 
2016                                        .49                                      2017                                     .61 
2015                                        .45                                      2016                                     .54 
2014                                        .42                                      2015                                     .46 
2013                                        .38                                      2014                                     .38 
2012                                        .36                                      2013                                     .30 
2011                                        .33                                      2012                                     .23 
2010                                        .31                                      2011                                     .15 
2009                                        .29                                      Prior                                    .15 
2008                                        .28                                      TOTALS E1                                    E2 
2007                                        .23 
Prior                                       .23                                      SECTION F:                                           Assessor 
                                                                                     Including Computer Equipment                      Calculations 
TOTALS B1                                       B2                                   2021                                     .60 
SECTION C:                                           Assessor                        2020                                     .44 
Including Rental Videotapes and Games                Calculations                    2019                                     .32 
2021                                        .76                                      2018                                     .24 
2020                                        .53                                      2017                                     .19 
2019                                        .29                                      2016                                     .15 
2018                                        .05                                      2015                                     .08 
Prior                                       .05                                      Prior                                    .08 
TOTALS C1                                       C2                                   TOTALS     F1                                F2 
COST GRAND TOTAL (for page 2)                                                        TRUE CASH VALUE GRAND TOTAL (for page 2) 
TAXPAYER: Add totals from cost columns                                               ASSESSOR: Add True Cash Value totals 
of Sections A-F (A1-F1).  Enter grand total                                          from Sections A-F (A2-F2).  Enter grand 
here and carry to line 9a, page 1.              $                                    total here and carry to line 9b, page 1.     $



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632, Page 3                                                  Parcel No. 
                                                                                                                                      L-4175 
SECTION G - Other Assessable Personal Property Which You Own 
Assessable Tangible Personal Property in your possession that is not entitled to depreciation under Generally Accepted Accounting
Principals (GAAP) (e.g.  fine art) or that  the assessor has told you  to report in this Section  or that is otherwise  described in the 
instructions should be reported under this section. Any Personal Property  reported in this Section should NOT be reported elsewhere 
on Form 632 (L-4175). See instructions. Attach additional sheets, if necessary. 
                                                                                                       Acquisition Acquisition     True Cash Value 
                                     Description of Property                                           Cost New            Year    Assessor's Calculations 

                                                             Total Acquisition Cost New          G1                                G2 

SECTION H - Standard Tooling 
You must  report your standard  tooling in this  Section. Complete both               Acquisition              Acquisition            GAAP 
                                                                                                 Year          Cost New            Net Book Value 
columns. Notice that GAAP net book value, as reported in this Section, 
                                                                                                 2021 
must implement accounting "changes in estimate", even if not otherwise 
material. Any Personal Property reported in this Section should         NOT be                   2020 
reported elsewhere on Form 632 (L-4175). See Instructions.                                       2019 
                                                                                                 Prior 

                                                                           Total Acquisition Cost      H1                        H2
SECTION I - Qualified Personal Property 
INCLUDE ONLY  "Qualified Personal Property"  as defined by Michigan        Compiled Laws  211.8a(6)(c). See instructions.  If necessary, 
attach  extra schedules  using the same  format indicated  below. Any Personal  Property reported  in this Section  should                 NOT be 
reported elsewhere on Form 632 (L-4175). 
Description of Equipment                  Owner Name and     Original Cost Date of    Lease Term       Year of Total Average     % TCV to be Completed
and Model or Serial Number      Complete Mailing Address     Installed     Installation  In Months  Manufacture  Monthly Rental       by Assessor 

                           Total Installed Cost          I1                                                                        I2 

SECTION J - Leased Property in Your Possession Which Is Not Qualified Personal Property 
Property you are leasing from another person or entity  should be reported under this Section. "Qualified" Personal Property should be 
reported under  Section l. See instructions.  Attach additional sheets if  necessary.  Any Personal  Property reported in this  Section 
should NOT be reported elsewhere on Form 632 (L-4175). 
                                                                                      Lease Term       Monthly     1st Year      Selling Price New
Lease No.            Name & Address of Lessor                Description of Equipment (in months)      Rental      in Service    (estimate, if necessary) 

                                                                                                 Total Selling Price New  J1 

SECTION K - Other Personal Property in Your Possession Which You Do Not Own 
Property not owned by you but in your possession on December 31, 2021, under arrangements other than a lease agreement should 
be reported under this Section. See instructions. Any Personal Property reported in this Section should NOT be reported elsewhere on 
Form 632 (L-4175). Attach additional sheets if necessary. 
                                                                                                               Age (estimate if  Selling Price New
             Name & Address of Owner                                    Description of Equipment               necessary)        (estimate, if necessary) 

                                                                                                 Total Selling Price New  K1 

COST GRAND TOTAL (for page 3)                                              TRUE CASH VALUE GRAND TOTAL (for page 3) 
TAXPAYER:    Add Total Costs and 
Selling Prices  from Sections G-K                                          ASSESSOR: Add True Cash Value totals 
                                                                           from Sections G-I (G2-I2).  Enter grand 
(G1-K1). Enter grand total here and carry $                                total here and carry to line 10b, page 1.            $
to line 10a, page 1. 



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632, Page 4 
SECTION L - Detail of Leases (This Section is Completed by Leasing Companies) 
Equipment that you lease to others should be reported under this Section. Note: You must also complete Sections A - F on Page 2. See instructions. You 
may use attachments in lieu of completing this Section only if the attachments use the same format and contain all the information as indicated below, and the 
Tables on Page 2 are completed. If you are leasing Eligible Manufacturing Personal Property (EMPP) to another company, you must report it in this 
section unless an election has been made, using Form 5467, that it be reported on the lessee's Form 5278. See the detailed notice at the beginning
of the Instructions, at the top of the first column, Page 5. Attach additional sheets, if necessary. 
Are you a manufacturer of equipment?               Yes       No 
                                                        Location of             Type of   Lease      Monthly       1st Year       Manufacturer     Original
Lease No.          Name & Address of Lessee             Equipment         Equipment     Period (Mo.) Rental        in Service       Cost       Selling Price 

                                                                                                     Total Original Selling Price
SECTION M - Leasehold Improvements
All Leasehold Improvements (LHI) made at your  place of business should be reported under this Section, even if you believe that the improvements are not 
subject to assessment as Personal Property. Report trade fixtures, foundation costs and equipment installation costs, including wiring and utility  connections 
in the appropriate Section A through F, on Page 2, not as LHI. See instructions. To prevent a duplicate assessment, provide as much detail as possible. You 
may attach additional explanations and/or copies of "fixed asset" records, if the attachment provides ALL of the information requested below and if you insert 
the total original cost in "Total Cost Incurred" below. Personal Property reported here shouldNOT be reported elsewhere on Form 632 (L-4175).Assessor: 
Do NOT assess 2016 or later installations as personal property except where the lease is pre-1984. 
NOTICE: The State Tax Commission has directed that all leasehold improvement installations in 2016 or later must be valued as improvements to the 
leased real property. Report all 2016 -2021 leasehold improvements in the section immediately below. 
                                                                                                                       STC          True Cash Value
Year Installed                                 Description (Describe in detail)                      Original Cost Multiplier        Assessor's Calculation 
     2021 
     2020 
    2019 
    2018 
    2017 
    2016
    Prior 
SECTION N - Buildings and Other Structures on Leased or Public Land and All Freestanding Signs and Billboards 
Costs of Freestanding Communications Towers and Equipment Buildings at Tower sites (unless reported on Form 4452), and Costs of Freestanding Signs 
and Billboards must also be reported under this Section. Any  Personal Property reported in this Section should NOT be reported elsewhere on Form 632 
(L-4175). Attach additional sheets, if necessary. 
    Check this box if you believe that these structures are already assessed as part of the real property. 
                                                                    Year Originally Built        Total Capitalized                  True Cash Value 
                   Address or Location of Building                                                   Cost                         Assessor's Calculation * 

                                                             Total Capitalized Cost  N1                                 N2 

SECTION O - Rental Information.                  See Instructions. (Attach additional sheets, if necessary.) 
IF YOU ARE THE TENANT 
Name and address of landlord __________________________________________________________________________________ 
Is your landlord the owner of the property?             Yes         No  If you are a sublessee, enter the name and address of the owner 
of the property _______________________________________________________________________________________________ 
IF YOU ARE THE LANDLORD 
Name and address of tenant ___________________________________________________________________________________ 
Are you the owner of the property?                 Yes           No  If you are a sublessor, enter the name and address of the owner of 
the property ________________________________________________________________________________________________ 
TO BE COMPLETED REGARDLESS OF WHETHER YOU ARE THE LANDLORD OR TENANT 
Address of property rented or leased  ____________________________________________________________________________ 
Date that current rental arrangement began:_________.  Square feet occupied:_________  Monthly rental $____________________ 
Date current lease expires:________________.  Are there options to renew the lease?                        Yes          No 
Expenses (e.g. taxes, electric, gas, etc.) paid by the tenant ___________________________________________________________ 
                                                                                                                                  Assessor Value 

                                                                                                                   O2 
COST GRAND TOTAL (for page 4)                                                           TRUE CASH VALUE GRAND TOTAL (for page 4) 
TAXPAYER: Add Total Cost Incurred from 
Section M and Total Capitalized Cost from                                               ASSESSOR: Add True Cash Value totals 
Section N  (M1 and  N1). Enter  grand total                                             from Sections M-O (M2-O2).  Enter grand 
here and carry to line 11a, page 1.              $                                      total here and carry to line 11b, page 1. $ 
* NOTE TO ASSESSOR: Certain buildings and structures on leased land (but not including freestanding signs and billboards) must be assessed on the
   real property roll. See Bulletin 1 of 2003. 



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632, Page 5     

         Instructions for Completing Form 632 (L-4175), 2022 Personal Property Statement     
NOTICE:           Do  NOT  report            Eligible  Manufacturing  Personal                                       indicate that      you have no costs to report      for that page;                you must 
Property (EMPP), as defined in MCL                                  211.9m and MCL             211.9n,               complete and file Section O if you are a landlord, a lessee or a 
using this form. Instead, use theEligible Manufacturing Personal                                                     sublessee.        In completing this form,      you may not      use attachments      
Property Tax Exemption Claim, Personal Property Statement,                                                           in lieu of        completing a Section,      unless the instructions specifically                  
and Report of Fair Market Value of Qualified New and Previously                                                      authorize the use of attachments for completing the Section.     
Existing Personal Property (Combined Document)                                            , Form 5278,               FACSIMILE SIGNATURES: This form must be signed at the                                              
even if some of the personal property is not yet exempt. For a full                                                  bottom of page 1. A                facsimile signature may be used (P.A. 267 
definition of      EMPP,      see the instructions      on Form      5278. Generally,                                of 2002), provided that the person using the facsimile signature 
personal property is EMPP              if the predominant      use of      all personal                              has filed with the Property Services Division of the Department 
property on an occupied real parcel is predominantly used for                                                        of Treasury a signed declaration, under oath, using Form 3980. 
industrial processing or                     direct      integrated support. Form              5278                         A facsimile signature is a copy or a reproduction of an original 
must be           fully completed and        delivered              to      the assessor      of the                 signature.     
local unit in which the personal property is located no later than                                                   GENERAL  EXPLANATION:  The Michigan Constitution provides      
February 22, 2022. Delivery by the United States Postal Service                                                      for      the assessment of         all     real and tangible personal property                     
is timely if postmarked on or before February 22, 2022. Late                                                         not exempted by law. Tangible personal property is defined as                                      
application may be filed directly with the March Board of Review                                                     tangible property that is not real estate. Form 632 (L-4175) is used      
before its        final adjournment      by submitting a fully                          completed Form               for the purpose of obtaining a statement of assessable personal      
5278.      Form 5278 can be accessed at      www.michigan.gov/esa. A                                                 property  for  use  in  making  a  personal  property  assessment.      
lessor of personal property is not eligible to file Form 5278 under                                                  Michigan law provides that the assessor must send Form 632      
any circumstance and must report                          EMPP            on this form.  However,                    (L-4175)          to any person or entity that may possess assessable                              
the lessor and lessee may elect to have the lessee report the                                                        personal property. Michigan law also provides that a person or      
leased property by executing the                         Election of Lessee Report of                                entity receiving Form 632 (L-4175) must complete it and return      
Eligible Manufacturing Personal Property, Form 5467, and the                                                                                                                                                       
                                                                                                                     it to the assessor by the statutory due date, even if they have no 
lessee including the Form 5467 when filing Form 5278.                                                                assessable property to report. If you had assessable personal                                      
NOTICE:  If the true cash value of assessable personal property                                                      property in your possession on December 31, 2021, you must      
that you or a related party own, lease, or possess in this (“city”                                                   submit a completed Form 632 (L-4175) to the assessor of the      
or  “township”)  is  under  $80,000,  you  may  be  eligible  for  an                                                community where the property is located by the statutory due                                       
exemption for 2022 by filing Form 5076 by February 22, 2022,                                                         date,      even if       the assessor does not      send you a form to complete.     
or by an application thereafter directly to the March Board of                                                    
Review.     IF YOU ARE ELIGIBLE FOR THE SMALL BUSINESS                                                               COMPLETION OF FORM 632 (L-4175)     
TAXPAYER EXEMPTION (MCL 211.9o) AND FILE FORM                                                                
                                                                                                                     PAGE 1  STATISTICAL INFORMATION: 
5076, YOU DO NOT HAVE TO COMPLETE THIS PERSONAL 
                          STATEMENT.  Review  Form 5076                                       and  the               FROM: Insert      name and address              ofthe assessor if           you are using          
PROPERTY 
instructions on that form to determine whether you qualify. Form                                                     a form not provided by the assessor. Often this form must be 
                                                                                                                     filed at an address different than the assessor’s mailing address 
5076 and instructions can be accessed at                                        www.michigan.gov/ 
          or from the assessor.                                                                                      for other purposes. It is your responsibility to assure that this                              
taxes
                                                                                                                     form is sent to the correct address. If you are unsure of the                                      
This form is issued under authority of the General Property Tax 
                                                                                                                     mailing address, call your local assessor or county equalization 
Act. Filing is mandatory. Failure to file may result in imprisonment      
                                                                                                                     department.     
for a period not less than thirty days, nor more than six months; 
a fine not less than $100, nor more than $1,000; or both fine and                                                    TO: If you are not using a preprinted form, insert your name and      
imprisonment at the discretion of the court. See MCL 211.21.                                                         address. Use the address at which you wish to receive future 
                                                                                                                     forms and tax billings. If your form is preprinted with an incorrect      
CAUTION:          Read these instructions carefully before completing                                                                                                                                               
                                                                                                                     address, line out the incorrect portions and insert the corrections.
the form.         Complete all Sections. Because this form has been 
coded,  it  is  imperative  that  it  be  returned  to  assure  proper                                               Parcel No.: Unless this is an initial filing, you have already been      
processing.  If  all  of  the  personal  property  formerly  in  your                                                assigned a parcel number. If you are using a form not provided 
possession has been removed from this assessing unit before                                                          by  the  assessor,           you  must      insert      the  correct      parcel  number.          
December      31,      2021, you             must notify      the      assessor at        once     in                Failure to insert your parcel number may result in a duplicate 
order  to  change  the  records  accordingly.                                           This  statement            isassessment.     
subject to audit by the State Tax Commission, the Equalization                                                       Preparer’s  Name  and Address:                        Insert  the  name,        address,           
Department      or      the Assessor.              Failure to                   file this form by its                telephone number and e-mail address of the person who has 
due date will jeopardize your right to file an MCL                                             211.154               prepared this statement.     
appeal with the State Tax Commission.                                            You are advised to                  (Check One):  Check                the appropriate box indicating           the form               
make a copy of the completed statement for your records. This                                                        of  legal  organization  used  by  the  taxpayer  in  conducting      
form must be filed in the city or township where the personal                                                        its  business.  If  the  taxpayer  is  organized  as  a  corporation                               
property is located on December 31, 2021. Do not file this form                                                      or              a limited  liability  company,  insert  the      Michigan  corporate      
with the State Tax Commission unless you have been specifically                                                      identification  number  of  the  business  or,  if  not  authorized  to      
instructed to do so by the Commission’s staff.                                                                       do business in Michigan, the name of the state in which it                                 is     
Although you must complete all Sections of this form, you are                                                        organized.     
not required to file pages that do not contain any reported cost.                                                    Location(s) of Personal Property:      List the street addresses of 
You must, however, insert a zero entry in the appropriate line(s)                                                    all locations that are being reported on this statement. Locations      
10,      11 and/or      12 of      the “Summary and Certification” on page 1 to                                      in  different            school  districts  or  lying  within  the  boundaries  of      



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632, Page 6     
designated authorities or districts must be reported separately.                                            or similar devices that are not “special tools” should be reported 
All personal property at      a given location in the same authority or                                     at full acquisition cost new under Section H of this form.     
district must          be reported under one account,     unless the assessor                               Page 1, Line 2:                  Air and water pollution control facilities and/                                       
has directed otherwise. You must file a separate statement for                                              or  wind  or  water  energy  conversion  devices  may  qualify  for      
property on which the tax is abated pursuant to P.A. 198 of 1974                                            exemption from taxation,      only if      an exemption certificate has been      
(I.F.T.) or P.A. 328 of 1998 (certain new personal property).                                               issued by the State Tax Commission on or before December 31,      
Date  of  Organization:      Insert  the  date  that  the  taxpayer’s                                       2021. If you claim such an exemption, check “Yes” and attach 
business was first organized or commenced.                                                                  an itemized listing of the certificate numbers, dates of issuance 
Date Business Began at Above Location:     Insert the date that                                             and amounts.     
the taxpayer first commenced business at a location reported on                                             Page 1, Line 3:                You must file a completed Form 632 (L-4175) 
this statement.                                                                                             with the assessor of every Michigan assessment jurisdiction in 
Square Feet Occupied:                     Insert the number of square feet of                               which you had assessable personal property on December 31, 
space occupied by the taxpayer at the location(s) reported.                                                 2021.             If you have fulfilled this obligation, check                 “Yes.”            Ifyou have             
Assumed Names:                          State  any  assumed     names  used     by  the                     not      filed in every required jurisdiction, attach                    an explanation.                                
taxpayer in conducting its business at the location(s) reported.                                            You are required to report all tangible personal property in your 
                                                                                                            possession in this location 
Names  of  Owner(s)  or  Partners:                            If  the  taxpayer  is  a  sole                                                                even if the property has been fully 
proprietorship or a partnership, list the name(s) of the proprietor                                         expensed or depreciated for federal income tax or financial 
or partners.                                                                                                accounting purposes.                                  If you answer      “No,” attach a detailed      
                    
                                                                                                            explanation.     
If Sole Proprietorship, Taxpayer’s Residential Address: Insert     
sole proprietor’s actual residence address. Do not use mailing                                              Page 1, Line 4:                  The purpose of this question is to determine 
address, if different than residence address.                                                               whether you are  a  party  to a  contract  relative  to  personal                                                  
                                                                                                            property located in this jurisdiction on December 31, 2021, that 
Legal       Name  of  Taxpayer:       Insert      the  taxpayer’s      exact legal                          you have not reported on this statement, perhaps because of 
name.     
                                                                                                            your belief that another party to the contract is the proper party 
Address Where Personal Property Records Are Kept:      Insert                                               to report. This includes situations where you believe you hold 
the address where the records used to complete this statement                                               only a security interest in personal property, in spite of the fact 
are kept. Only insert the address of an agent if that agent has                                             that the contract is labeled a “lease.” If you answered “yes” to 
actual      possession      of all documents            necessary to conduct               an               this question, attach a rider that includes the name(s) of the                                                          
audit.                                                                                                      interest holder(s), the nature of  your interest, a description of  
Name of Person in Charge of Records: Insert the name of the                                                 the equipment, the year the equipment was originally placed in 
person at      the address where the records are kept      who has actual                                   service, its original selling price when new and the address where  
control of the documents necessary to conduct an audit.                                                     the property was located on December 31, 2021. “Conditional 
                                         Insert the telephone number of the person                          sale” leased equipment must be reported by the lessor.     
Telephone Number:
having charge of the records used for filing.                                                               Page 1, Line 5:                  Check “Yes” if you are a lessor (landlord),                                 a     
                                                                                                            lessee (tenant) or a sublessee (subtenant) in a rental contract 
Description                   of      Taxpayer’s  Business  activity:                    Insert            arelating  to  the  real  property  at  this  location.  MCL
descriptive  phrase  indicating  the  nature  of  the  taxpayer’s                                                                                                                                                211.8(i)           
business activity and NAICS Code.                                                                           provides that, under some circumstances, the value, if any, of 
                                                                                                            a sub-leasehold estate shall be assessed to the lessee. If you 
PAGE 1  SUMMARY AND CERTIFICATION:                                                                         check  “Yes,”  complete  Section  O. Your  rental  arrangement                                                      
                                                                                                            will be analyzed by the assessor. If you check “Yes” and have 
Page 1, Line 1:                       “Special Tools”  are  exempt  from  taxation,                      
                                                                                                            made leasehold improvements to the real estate, you must also 
pursuant      to MCL      211.9b.            Ifyou are excluding “special tools”                 from      
                                                                                                            complete Section M. Your completion of Sections M and O will 
your statement,                     you must check      “Yes” and insert the      amount                    
                                                                                                            not necessarily result in an increased assessment.     
of  original  cost  excluded.  “Special  tool”  means  a  finished  or      
unfinished device such as a die, jig, fixture, mold, pattern, special                                       Page 1, Line 6: The valuation multipliers contained in Sections A      
gauge,  or  similar  device,  that  is  used,  or  is  being  prepared                                      through F      on page 2 are intended to be applied to the acquisition      
for  use,  to       manufacture      a  product  and      that  cannot  be used                             cost  of  new,  not  used,  personal  property.  If  the  acquisition                                                   
to manufacture another product without substantial modification                                             cost      new  of      an  asset            is known  to  you  or      can  be  reasonably                              
of the device. As used herein, a “product” can be a part, a special                                         ascertained through investigation, you must report that cost in 
tool, a component, a subassembly or completed goods. “Special                                               the year it was new when you complete Sections A                                      through F, 
tools” do not include devices that differ in character from dies,                                           even if      you have adjusted the cost      in your accounting records to 
jigs, fixtures, molds, patterns, or special gauges. Machinery or                                            reflect revaluation of the asset using a “purchase,” “fresh start,” 
equipment, even if customized, and even if used in conjunction                                              “push-down” or similar accounting methodology, or even if your 
with special tools is not a “special tool.” A                           die, jig, fixture, mold,            booked cost reflects a “used” purchase, lease “buy-out” price or 
pattern, gauge, or similar tool that is not a “special tool” is                                      a      a “trade-in” credit. If you were unable to report the acquisition 
“standard tool” and must      be reported in Section H.      Machinery or                                   cost new for one or more of      your assets, you should check “Yes”      
equipment, even if specialized,      and even if used in conjunction                                        and attach a list of all such assets. On the list, provide a detailed      
with special tools or standard tools is not reported in Section                                             description of each asset, the year or approximate year that the 
H and must, instead, be reported in Section B. Only industrial                                              asset      was new,      and the Section,      the amount      and acquisition year      
tools in the nature of dies, jigs, fixtures,                            molds, patterns and                 at which you have reported the asset. You must also provide a 
special gauges can qualify for this exemption. Personal property                                            written explanation of the reason(s) that the original acquisition 
not directly used to carry out a manufacturing process is not a                                             cost information is not available.     
“special tool.” Dies, jigs, fixtures, molds, patterns, special gauges,                                      Page 1, Line 7:                 Daily rental property” is tangible personal                                   



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632, Page 7     
property, having a cost new  of $10,000 or less, that is exclusively                                                                               (Form 3991 - Gas Turbine and Diesel; Form 4070 - Hydroelectric;      
offered  for  rental,                        pursuant     to  a  written  agreement, on                                  an                        Form 4094 - Steam). 
hourly,      daily,      weekly      or monthly                   basis               for      a     term        of    6 months                    Page 1, Line           14:              If you had cable television          or      utility assets             
or less (including all permitted or required extensions).                                                                           If you         on December 31, 2021, complete and file Form 3589,                                                 Cable 
acquired the property “used” you must determine the cost new                                                                                       Television and Utility Personal Property Report                                      , or Form 633,             
for     purposes       of    determining whether                                      the property     qualifies for                               Electric Distribution Cooperative Personal Property Statement                                             , 
“daily rental property” treatment.                                                 If you believe that     you have                                and carry the Total Original Cost from Form 3589 or Form 633 
such property, see Form 3595,                                          Itemized Listing of Daily Rental                                            to line 15a. See the instructions                          to Form 3589.      If you had wind 
Property,  for  additional  information.  If  you  qualify,  you  must                                                                             energy system assets as defined in MCL      211.8(i), on December 
complete Form 3595 and comply with the requirements set forth                                                                                      31, 2021, complete Form 4565, Wind Energy System Personal 
therein.                                                                                                                                           Property Report                   , and carry the total original cost            from Form 4565      
Page 1, Line 8:             This question requires you to disclose other                                                                           to line 14a. See the instructions to Form 4565.     
businesses that share space with you at the location(s) of your                                                                                    Page 1, Line 15:                        If you had cellular (wireless) site assets on                           
business. If you answer “Yes” attach a list of all other businesses                                                                                December  31,  2021,  complete  and  file  Form  4452,                                             Cellular 
operating at your location(s). If you are located in a shopping                                                                                    (Wireless) Site Equipment Personal Property Report                                        , and carry 
center, office building or other multi-tenant facility, you are not                                                                                the Total Original Cost from Form 4452 to line 15a. See the                                                     
required to list businesses having a different legal address.                                                                                      instructions to Form 4452.                           
Page 1, Line 9: Complete Sections A through F, page 2, and add      
the totals from Sections A                                        through F to arrive at a Cost Grand                                              PAGE   2GENERAL                          INSTRUCTIONS                    FOR SECTIONS            A       
Total. Insert the Cost Grand Total in the box indicated at the                                                                                     THROUGH F: 
bottom of page 2 and carry that amount to page 1, line 9a.                                                                                         You must report                   in these Sections      the full acquisition cost      new,            in
Page 1, Line 10:                 Complete Sections G through K, page 3, and                                                                        the year of its acquisition new, of all machinery and equipment, 
add the totals from Sections G through K to arrive at a Cost                                                                                       computer equipment, furniture and fixtures, signs, coin operated      
Grand Total. Insert the Cost Grand Total in the box indicated at                                                                                   equipment,  office  equipment,  electronic,  video  and  testing      
the bottom of page 3 and carry the amount to page 1, line 10a.                                                                                     equipment, rental                       video tapes and games and other tangible                                
Page 1, Line 11:                 Complete Sections L                                        through O, page 4, and                                 personal property owned by you and located in this assessment 
add the totals from Sections M and N to arrive at a Cost Grand                                                                                     jurisdiction,   even if you have fully depreciated the asset or 
Total, as directed by the instruction at the bottom of the page.                                                                                   have expensed the asset under Section 179 of the Internal 
Insert the Cost Grand Total in the box indicated at the bottom of                                                                                  Revenue Code or under your accounting policies. All costs 
page 4 and carry the amount to page 1, line 11a.                                                                                                   reported  must  include  freight,  sales  tax  and  installation      
                                                                                                                                                   costs, even in cases where the cost was actually incurred by 
Page 1, Line 12:                         If  you  had  assets  that  qualified  as  “idle                                                          another.      Imputed sales tax,                     freight      and      installation costs must              
equipment” or as “obsolete or surplus equipment” on December 
                                                                                                                                                   be reported by equipment                             leasing companies in cases where                           
31,  2021,  complete  Form  2698,                                               Idle  Equipment,                   Obsolete                        the lessee has paid or will pay such costs, or will provide the 
Equipment and Surplus Equipment Report, and carry the Total                                                                                        equivalent benefit in kind. Sales/Use tax must be imputed and 
Original Cost from Form 2698 to line 12a.                                                                                                          reported by equipment leasing companies in cases where the 
“Idle  equipment”  is  equipment  that  is  part  of  a  discontinued                                                                              lessee is paying sales or use tax on installment lease payments.      
process and that has been disconnected and is stored in a                                                                                          The costs reported must include all costs (except capitalized                                                   
separate location.                     Assets      are            not     “idle”                 if they are present                   as          interest)  that  would  be  capitalized  by  an  end-user/owner  of                                             
standby equipment, are used intermittently or are used on                                                                                   a      the property under generally accepted accounting principles,                                               
seasonal basis. “Obsolete or surplus equipment” is equipment                                                                                       including overheads and “indirect costs” associated with the                                               
that  either  requires  rebuilding  and  is  in  the  possession  of                                                                     a         process  of  constructing,  acquiring  or  making  the  property      
rebuilding firm on December 31, 2021, OR is being disposed of                                                                                      available for use. Capitalized expenditures made to a piece of 
by means of an advertised sale because it has been declared                                                                                        machinery or equipment after the initial acquisition year must be      
as surplus by an owner who has abandoned a process or plant.                                                                                       reported in the year the expenditure is booked as a fixed asset. 
Property  that  is  part  of  a  process  that  has  been  temporarily                                                                             These costs must be reported the same as they are shown on 
suspended  from  operation  or  which  is  being  offered  for  sale                                                                               your  financial  accounting  fixed  asset  records,  assuming  that      
with      the expectation that the process                                            will be continued at the                                     you  account  using  generally  accepted  accounting  principles.      
same location, does not qualify                                         for idle or obsolete and surplus                                           You  must       also  report      in  these  Sections any                      other      tangible              
reporting treatment. Only property which would otherwise be                                                                                        personal property in your possession or under your control in this 
reported in Sections                                      A through F           on Page 2 of      Form 632               (L-                       jurisdiction that is not reported under Sections G through N. If you      
4175) qualifies to be reported as idle or obsolete and surplus                                                                                     purchased an asset used, and do not know and cannot ascertain      
equipment. For more information, see instructions to Form 2698.                                                                                    the acquisition cost new, attach the list and explanation required      
Do not include these assets elsewhere on this form.                                                                                                by the  Page 1, Line 6                     instructions. The acquisition costs for the 
Page 1, Line 13:                 Report the total cost incurred for Construction                                                                   assets reported under each Section must be totaled for each                                                     
in Progress, as calculated on an accrual basis, based on the                                                                                       acquisition year. Place the yearly total on the line of the Section 
extent  of  physical  presence  of  the  Construction  in  Progress                                                                                corresponding to the year that the property was acquired. You 
in  the  assessment  jurisdiction.  Construction  in  Progress                                                                                     must report           the original acquisition cost,                         not your estimation                
is  property  of           a  personal  property  nature  that  has                                                    never                       of the value of the property. Equipment not fully installed on                                                  
been in service and was in the process of being installed                                                                                          December 31,                2021,      should be reported on                   Page 1,             Line 13      
on       December  31,  2021.  Do                                 not  report  partially  constructed                                              and should not be reported in these Sections. Property that was 
electric  generating  facilities  as  Construction  in  Progress.                                                                                  reported as construction in progress                                    last year but which was            
Such facilities must      be reported on the Real Property Statement                                                                               placed in service on or before December 31, 2021, should be 



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632, Page 8     
entirely reported on the 2021 acquisition line of the appropriate                              Do not report 2021 acquisitions of new property on Form 3966.     
table, not the 2020 line. Similarly, the cost of all assets must be                            You       must  report  the      cost  of  business  trade fixtures                        in the            
reported as acquired in the year that they were placed in service,                             appropriate Section, A through F, rather than in Section M where      
rather than the year of purchase, if those years differ.                                       you report          leasehold improvements. You                      must also      report the               
Leased assets and “daily rental property” must be reported by                                  costs of installing personal property in the appropriate Section, A      
the Owner on Sections A through H in the same manner as other                                  through F. Trade fixtures and installation costs of machinery and      
property, using a cost which represents the price that would be                                equipment must not be reported in Section M, even if you have 
paid by an end-user to acquire ownership of the property if                         it         booked them as leasehold improvements for financial accounting      
were to purchase rather than lease or rent. An itemized listing of                             purposes. Trade fixtures are items of property that have been 
the property must also be made in Section L                  (for leased assets)               attached to real estate by a tenant to facilitate the tenant’s use of      
or pursuant to the requirements of the instructions for                   Page 1,              the property for business purposes and which are both capable of  
Line 7 (for daily rental assets). Lessors       do not report     Eligible                     being removed and are removable by the tenant under the terms      
Manufacturing Personal Property (EMPP), which may be reported                                  of the lease. Examples of trade fixtures are certain costs related 
by the lessee on Form 5278 if the lessor and lessee make the                                   to telephone and security systems and most                                     signs.      Examples          
election and include Form 5467 when filing Form 5278.                                          of installation costs are the costs of machine foundations and 
All leased and daily rental assets must be reported by, and must                               electric, water, gas and pneumatic connections for individual                                                
be assessed to, the owner (the lessor or daily rental company),                                manufacturing machines.     
in spite of any agreement to the contrary between the parties to                               The costs of an electrical generating facility, including the costs 
the lease or rental agreement, unless the property is EMPP, is                                 of       all  attached  equipment           that      is  integrated  as  a  component                       
“qualified personal property” or is owned by a bank.      Leased and                           in accomplishing the generating process, such as boilers, gas 
rental property must be reported at selling price new, even if the                             turbines  and              generators,  are      not  reported on              this       form. An           
owner is the manufacturer of the asset or acquired the asset in                                exception is a small, movable generating unit that has a fixed 
the wholesale market for an amount less than the price that the                                undercarriage  designed  to  allow  easy       movement      of      the  unit                               
end-user would have incurred to purchase the asset. If the asset                               from place to place to provide temporary electric power. Other 
is of a type that it is never sold to an end-user or if you have                               exceptions  are                   wind      energy  systems  and solar            farms.  See                
constructed the asset for your own use, report the price at which                              instructions to Page 1, Line 14.     
the asset would sell if      a market sale did occur. See STC Bulletin                         The costs associated with a generating facility that does not have  
8 of 2007.                                                                                     a fixed undercarriage must be reported to the assessor on the 
The cost reported in each of the Sections of this form and on the                              appropriate Real Property Statement (Form 3991 - Gas Turbine 
forms used with this form should include the full invoiced cost,                               and Diesel; Form 4070 - Hydroelectric; Form 4094 - Steam).                                                   
without deduction for the value of certain inducements such as                                 The costs associated with small, movable electrical generation 
service agreements and warranties when these inducements are                                   units that have a fixed undercarriage and the costs associated 
regularly provided without additional charge.                                                  with other unattached, movable      machinery and equipment used 
Inventory  is  exempt  from  assessment.  Inventory  does  not                                 at generating facilities, such as front loaders, forklifts, etc. are 
include personal property under lease or principally intended                                  reported in Section B of this form.     
for  lease  or  rental,  rather  than  sale.  Property  allowed                         a             A summary  of              the  items  that      should  be  reported  in  each                       
cost  recovery  allowance  or  depreciation               under  the      Internal             Section is contained in STC Bulletin 12 of 1999, its later annual 
Revenue Code is not inventory. Motor vehicles registered with                                  supplement(s) and in these instructions. These bulletins, along 
the  Michigan  Secretary  of  State  on  December  31,  2021  are                              with forms and other bulletins can be accessed via our Web                                                   
exempt. Special mobile equipment, as defined by MCL 257.62,                                    site at       www.michigan.gov/taxes.  MCL                               211.19  requires      that          
and  nonregistered  motor  vehicles  are  assessable. Computer                                 you  complete  this  form  in  accordance  with  the  directions      on      
software, if the purchase was evidenced by a separate invoice                                  the form and in these instructions. You may, however, attach                                                 
amount, and asset number, and if the software is commonly                                      supplementary material for the assessor to consider in making his      
sold separately, is exempt.                                                                    or her valuation decisions.                 If you have questions regarding proper      
If you have had “Move Ins” of used property during calendar year                               categorization of property,                  contact           the State Tax      Commission for      
2021, you must complete Form 3966, in addition to completing                                   clarification.     
Form 632 (L-4175). You can obtain Form 3966 from the Michigan                                  Completion of Section A, Page 2:                                     The assets to be reported 
Department of Treasury Web Site at       www.michigan.gov/taxes                                in this Section include decorations, seating, furniture (for offices,      
or from your local assessor. “Move-Ins” are items of assessable                                apartments,         restaurants,      stores and gaming establishments),                                     
personal property that were not assessed in this city or township                              shelving and racks, animal cages and tanks, lockers, modular 
in  2021,  including:  acquisitions  of  previously  used  personal                            office components, cabinets, counters, rent-to-own furnishings, 
property (which should be reported in the year it was new and                                  medical exam room furnishings, therapeutic medical beds and 
at the cost when      new); used personal property you have moved                              bedding, bookcases, displays, mobile office trailers, special use 
in from outside this city or township; personal property that was                              sinks (such as those found in medical offices, beauty shops and 
exempt in 2021 (such as exempt industrial facilities tax property);                            restaurants), tables, nonelectronic recreational equipment, filing 
and personal property that you mistakenly omitted from your                                    systems, slat walls, non-freestanding signs, window treatments, 
statement in 2021. “Move-Ins”      do not include property moved                               uniforms and linens, cooking, baking and eating implements,                                                  
from another location       within this city or township or assessed                           shopping carts, booths and bars. Other assets may be included 
to another taxpayer      within    this city or township in 2021 (i.e.                         at a later time.     
property reported by a previous owner or previously leased                                     Completion of Section B, Page 2:                                     The assets to be reported          
property reported by the lessor to this city or township last year).                           in  this  Section  include  all  assets  that  are  not  designated      
All “Move-Ins” must be reported in the appropriate Section of                                  for  disclosure  in  another  Section.  Specifically,  such  assets                                          
Form 632 (L-4175), in addition to being reported on Form 3966.                                 include  the  following  types  of  machinery  and  equipment:  air      



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632, Page 9     
compressors,  airport  ground,  non-coin  operated  amusement                                                produce duplicate originals of text documents in such a way that      
rides and devices,      auto repair & maintenance,      beauty and barber                                    the use of carbon paper or other duplicating processes can be 
shop, boiler, furnace, bottling & canning, crane and hoist, car                                              avoided. Printing presses are not copiers and must be reported 
wash,      chemical processing,      construction, unlicensed                            vehicular,          in Section B of this form even if the operation of the printing press      
conveyor, non-coin operated dry cleaning and laundry, air makeup                                             is regulated or controlled digitally, is controlled by a computer, 
and  exhaust  systems,  manufacturing  and  fabricating,  food                                               or is automated. A      printing press is a device designed primarily 
processing, gym & exercise, heat treating, landscaping, sawmill,                                             to produce commercial runs of printed material, such as books, 
incinerators, maintenance and janitorial, nonelectronic medical                                              pamphlets,  forms,  magazines,  newspapers,  or  advertising      
and dental and laboratory and veterinary equipment, mining and                                               circulars,  for  commercial  sale,  regardless  of  the  technology                             
quarrying, mortuary & cemetery, painting, hydrocarbon refining                                               employed in such production and regardless of the type of paper      
and production and distribution, plastics, pottery & ceramics,                                               which  is  used. The  definition  of  a  printing  press  specifically      
printing and newspaper, rubber manufacturing, scales, ski lifts,                                             includes any machine that              employs an offset      or other non-impact      
smelting, stone & clay processing, supermarket, textile, tanning,                                            printing process, if the machine otherwise meets the definition of      
vehicle mounted, waste containers, wire product manufacturing,                                               a printing press. Cellular site equipment, specifically including                               
woodworking,  automated  tellers  (ATM),  computer  controlled                                               communication towers and land improvements must be reported      
lighting,  CNC                controlled      manufacturing,  theater  equipment,                            on Form 4452, rather than in this Section. If you are not required      
restaurant  food  preparation  and  dispensing  and  storing  and                                            to  report  communication  tower  and  land                         improvement  costs      
serving equipment, soft drink fountains, coin counters, beverage                                             on Form 4452, you must report such costs in Section N of this 
container  return  machines,                                       storage  tanks, hand       tools  of      form. See the instructions for Form 4452. Other assets may be 
mechanics and trades, nonregistered motor vehicles, freestanding                                             included at a later time. 
and other safes not assessed as real property, oil and gas field                                             Completion of Section E, Page 2:                                The assets to be reported 
equipment       and  gathering  lines  prior  to  commingling  product                                       in this Section include consumer coin-operated equipment such 
with  other  wells  (other  lines  are  reported  in  Section  J,  Form                                      as bill & change machines, juke boxes, pin ball machines, coin-
3589),      portable toilets, metal                  shipping pallets and                containers,         operated pool tables and other non-video arcade games, snack 
portable saw mills, LP tanks under 2,000 gallons, fuel dispensing                                            & beverage machines, other vending machines, news boxes,                                        
control consoles, computer-controlled printing presses, stereo                                               laundry equipment, coin operated telephones and slot machines.      
lithography apparatus, forklift trucks, non-coin operated gaming                                             Other assets may be included at a later time.     
apparatus and computerized and mechanical handling equipment,      
                                                                                                                                                                       
commercial mail sorting operation equipment,      pill counters, pram                                        Completion of Section F, Page 2: The assets to be reported in 
                                                                                                             this      Section include assessable software,                     personal and midrange      
robotics. Other assets may be included at a later time.     
                                                                                                             and mainframe computer and peripheral equipment,                               including           
Completion of Section C, Page 2:                                   Report the acquisition cost               servers,  data  storage  devices,  CPUs,  input  devices  such  as      
new and the year of acquisition of rental videotapes, rental video                                           scanners and keyboards, output devices such as printers and 
games, rental DVD’s and rental laser disks owned by you at this                                              plotters,      monitors,      networking equipment, computerized                 point             
location. Other assets may be included at a later time.                                                      of sale terminals, global positioning system equipment, lottery 
Completion of Section D, Page 2:                                         The assets to be reported           ticket terminals, gambling tote equipment, pager instruments,                                   
in this Section include office machines, non-computerized cash                                               cable television converters and receivers for home satellite dish 
registers, faxes, mailing and binding equipment, photography                                                 television systems. 
and  developing  equipment,                                 shredders,      projectors, telephone                   A programmable logic control device for a machine should be 
and  switchboard  systems  (even  if  computerized),  audio  and                                             reported in Section B with the machine it serves. Office machines      
video  equipment                     [used  for      receiving,      transmitting, recording,                
                                                                                                             which are  capable of being integrated into a local area or wide 
producing and broadcasting], amplifiers, CD, cassette and disc                                               area  computer  network  and  office  machines  that  are  single                               
players, speakers, cable television local origination equipment,                                             function, or multifunction, and which                           are capable of being used 
electronic scales, surveillance equipment, electronic diagnostic                                             as a computer peripheral, including copiers that can be used as 
and testing equipment                      (for      automotive shops, medical                offices,       a computer peripheral, are reported in this Section. Other assets      
hospitals and dental offices), ophthalmology testing equipment,                                              may be included at a later time. 
satellite dishes, video-screen arcade games, electronic testing 
equipment, electronic laboratory equipment, cellular telephones,                                             Cost Grand Total,             Page 2: After you have completed Sections A      
medical  laser  equipment,                          reverse  osmosis  and  hemodialysis                      through F, add together the totals of cells A1 through F1 to arrive      
systems, movable dynamometer, spectrum analyzer, security                                                    at a Cost Grand Total. Insert the Cost Grand Total in the box 
systems, 2-way and mobile land      radio equipment, pay-per-view                                            indicated at the bottom of page 2 and carry to page 1, line 10a.     
systems, wooden and plastic pallets and shipping containers,                                                 Section G , Page 3:           Report all nonexempt tangible personal                            
rental musical instruments and distributive control systems (see                                             property owned by you at this location that is not entitled to                             
STC Bulletin 3 of 2000). Office machines whichare not capable                                                depreciation/cost       recovery  under  the  United  States  Internal                             
of  being  integrated  into  a  local  area  or  wide  area  computer                                        Revenue Codeorthat the assessor has told you to report in this 
network, office machines that are only capable of being used as                                              Section or that      otherwise presents      special valuation problems.      An      
a facsimile transmitting/receiving machine and/or as a copier,                                               example of property not entitled to depreciation/cost recovery is 
and office machines that are multifunctional but are not capable                                             fine art. Examples of properties that represent special valuation 
of being used as a computer peripheral, are reported in this                                                 problems are: locally-assessed copper and fiber optic cable not 
Section.             A copier is a freestanding or desktop piece of office                                   reportable in Section M, frequently supplemented professional 
equipment, which is most commonly used in an office setting,                                                 books, feature motion picture films, audio and video productions      
and which is primarily designed to print, or to make copies of                                               not       sold  to  the  public  at      large,      musical  instruments  used  for      
short-run text material produced in that office. Copiers generally                                           professional performance, LP tanks of 2,000 gallons or more that      
use commercially available 81/2” by 11” bond or copy paper and                                               have not been assessed as real property, nuclear fuel and toll 



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632, Page 10     
bridge company structures.     Provide all requested information. An                                    information  requested  for  each  asset. You                            must provide the 
inspection of the property may be necessary. Property reported                                          actual or estimated selling price new of the asset so that control 
in this Section should not be reported elsewhere on this form.                                          totals can be generated for use on the Summary and Certification      
Section H, Page 3:                     Standard tools, dies, jigs, fixtures, molds,                     portion of page 1. MCL 211.13 provides that all tangible personal      
patterns and gauges and other manufacturing requisites of                                     a         property shall be assessed to the owner thereof, unless the                                   
similar nature (commonly referred to as “tooling”) will be valued                                       owner is not known. A               personal property statement will be sent 
at an amount equal to the net book value of the asset. Report                                           to the owner.     
both Acquisition Cost New and GAAP                           net book value by year                     Cost Grand Total, Page 3:      After you have completed Sections G      
of       acquisition  in  this  Section.        See  the  instructions  for  line  1                    through K,      add together      the totals            ofcells G1 through K1 to arrive            
for  information  regarding  the  tooling  that  is  assessable.  For                                   at a Cost Grand Total. Insert the Cost Grand Total in the box 
purposes of personal property reporting, net book value shall be                                        indicated at      the bottom            ofpage 3 and carry            to line 11a on page 1.     
as      determined using generally      accepted accounting principles,                  in             Section L, Page 4:            This Section is to be completed                         by leasing 
a manner consistent with the taxpayer’s established methods of                                          companies and others who lease personal property to others. In     
depreciation. The net book value for federal income tax purposes                                        addition to completing this Section,      you must      complete Sections 
shall not be used for purposes of personal property tax reporting.                                      A through F and any other Sections that are applicable. You may      
If an accounting change in estimate is indicated relating to                                     a      use attachments rather than completing this Section, but only if 
particular asset, the net book value of that asset, as reported                                         your attachment provides all the information requested on this 
for personal property assessment purposes, shall be the value                                           Section and if you insert the total original selling price where                                   
that would have existed for that asset on December 31, 2021, if                                         required on the form.     
a correct estimate had originally been made. Your obligation to                                                                       This Section is to be completed by tenants 
                                                                                                        Section M, Page 4: 
implement      the change in estimate for personal property reporting                                   who  are  renting  or  leasing  real  property. All  improvements                                  
purposes  shall  not  be  affected  by  a  determination  that  no                                      (leasehold improvements) you have made to the real property 
financial accounting change in estimate is necessary due to lack                                        should be reported,      even if      you believe that      the improvements are      
of materiality. In no event shall assessable tooling be reported                                        not subject to assessment as personal property. Provide as much      
at an amount less than is indicated by its expected remaining                                           detail as possible so that the assessor can determine whether 
useful life plus salvage value (if              applicable under          the depreciation              a  personal  property  assessment                              should  be  made.      Coaxial      
method used).                                                                                           and/or fiber-optic wiring costs and associated infrastructure of 
Section I, Page 3:                Report “qualified personal property” in this                          audio and/or visual systems serving subscribers of one or more 
Section. Do not report “qualified personal property” in Sections                                        multiple unit dwellings or temporary habitations under common 
       A through F. “Qualified personal property” is property that was                                  ownership, and which do not use public rights-of-way shall be 
made available to you by a “qualified business” (usually a leasing                                      reported in this Section and be clearly identified as such. You 
company or a finance company) and which is not assessable to                                            may use attachments, but only if your attachment provides all the      
the “qualified business.” Such property is assessable to you as                                         information requested in this Section and if you insert the Total 
the user. The requirements for “qualified business” treatment                                           Cost Incurred where required on the form. See the instructions 
are strict and many leasing and financing companies do not                                              for page 1, line 5 for additional explanation.     
qualify. Further, such treatment only applies to property subject                                                             Page 4: Report      the total capitalized cost      and year of 
                                                                                                        Section N,
to  an  agreement  (usually  labeled  a  lease)  entered  into  after      
                                                                                                        construction of buildings and other structures you have placed 
December  31,  1993  that  qualifies  for  treatment  as  “qualified      
                                                                                                        on land not  owned by you,                 such  as leased            or public lands or      
personal property.” The “qualified business” is required to have                                        on public rights-of-way. Costs of freestanding communications 
filed a statement with the assessor by February 1st of the current                                      towers and associated equipment buildings (unless such costs 
year and is required to have made a written agreement                               with you            have been reported on Form 4452) and costs of freestanding 
in which it is specifically agreed that you will report the property                                    billboards      are  examples  of  other  structures  that  are  to  be      
to the assessor as “qualified personal property.” See MCL 211.8a.                                       reported. The reported cost must include all costs capitalized on      
Section  J,  Page  3:                  Report  all  business  machines,  postage                        your records. See STC Bulletin 8 of 2007.     
meters, machinery, equipment, furniture, fixtures, tools, burglar                                                                     Landlords and tenants must provide rental 
                                                                                                        Section O, Page 4:
alarms, signs           and advertising devices        and other      tangible personal                 information relating to lease arrangements to which they are                                       
property that you are renting or leasing from another person or                                         a party. Do not report lease or rental arrangements relating to 
entity. Provide all of the information requested for each lease.                                        property occupied for residential purposes. If you are a landlord 
Youmustprovide the actual or      estimated selling price new of      the                               with  multiple  properties,                contact      the  assessor  to  arrange  an      
asset      so control totals      can be generated for      use on the Summary                          acceptable  alternative  reporting  method.                           See  instructions  for       
and Certification portion of page 1. MCL                           211.13 provides that                 page 1, line 5.     
all tangible personal property shall be assessed to the owner                                                                                            After you have completed Sections 
thereof,       unless  the  owner        is  not      known.            A personal  property            Cost Grand Total, Page 4:
                                                                                                        M and N, add together the totals of cells M1 and N1 to arrive at a      
statement will be sent to the owner. Property reported in this                                       
                                                                                                        Cost Grand Total. Insert the Cost Grand Total in the box indicated      
Section should not be reported elsewhere on this form.     
                                                                                                        at the bottom of page 4 and carry to line 12a on page 1.     
Section K, Page 3:                     Report all machines, meters, machinery,                          
equipment, furniture, fixtures, tools, signs and advertising devices      
that are in your possession but are not owned, leased or rented 
by you. Examples include equipment left with you by vendors, 
such as display racks, coolers or fountain equipment, property 
loaned to you by another, property left with you for storage or 
rebuilding, consigned equipment not held for resale and assets 
sold but not yet picked up by the purchaser. Provide all of the 






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